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Influence of a 3-step disinfection procedure on dentin bond strengthPappas, Maria 01 January 2004 (has links)
Statement of problem. Clinicians have used disinfection materials to remove surface contaminants during cavity preparation. It has been postulated that disinfection materials may negatively affect shear bond strength of restorative materials. If so, large numbers of restorations may be predestined for early failure with the use of a disinfection protocol.Purpose. To determine whether there is a difference in the bond strength between dentin and composite resin with a 3-step disinfection technique compared to a conventional bonding technique without the additional disinfection protocol.Material and Methods. Sixty human molar teeth were sectioned parallel to the occlusal surface to expose mid-coronal dentin and mounted parallel to a bond shearing device on a universal testing machine (Instron) and randomly divided into 2 groups. In Group I (n=30), specimens were treated with chlorhexidine, tubulicid red, and sodium hypochlorite before dentin bonding, following the manufacturer's instructions for All Bond 2. In Group II (n=30), specimens were treated only with the bonding protocol of All Bond 2. To ensure a uniform bond surface area, core paste was syringed into a cylindrical mold (diameter 2.38mm, height 2.00mm) that was in contact with the dentin bonding surface of each specimen, and allowed to set under constant force. All specimens were subjected to fracture by shear loading in a universal testing machine (Instron) at a uniform crosshead speed of 0.02 inch per minute and expressed as MPa. Statistical analysis, using nonpaired student's t-test, was performed. Results. A statistically-significant higher shear bond strength was found for the 3-step disinfection group (mean shear bond strength, 25.3; STD, 4.6) compared to the conventional bonding group (mean shear bond strength, 20.5, STD, 3.4) (PConclusions. The 3-step disinfection technique group showed a significantly stronger dentin shear bond strength compared to the conventional bonding technique without disinfection.
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